# ER PHYSICIAN GROUP AT JACKSON HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ER PHYSICIAN GROUP AT JACKSON HOSPITAL
- **Other names:** Chipola Quick Care Alford & Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356917892
- **Legal business name:** ER PHYSICIAN GROUP AT JACKSON HOSPITAL
- **Authorized official:** MARGARET CARTER (PAYER CREDENTIALING COORDINATOR)
- **Authorized official phone:** (850) 718-2531

## Contact information

- **Practice address:** 1798 GEORGIA ST, ALFORD, FL 32420-6800
- **Practice address phone:** (850) 526-6727
- **Practice address fax:** (850) 526-1027
- **Mailing address:** 4250 HOSPITAL DR, MARIANNA, FL 32446-1917
- **Mailing address phone:** (850) 526-6727
- **Mailing address fax:** (850) 526-1027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2021
- **Last updated:** 01/16/2023